When educating an older adult patient about changing his dressing, the nurse would most appropriately:
be certain the patient is wearing his glasses and/or hearing aid.
wait for the patient to ask any questions about the procedure.
talk through the process rapidly to keep the patient from becoming tired.
point out each mistake during the return demonstration.
The Correct Answer is A
A. Be certain the patient is wearing his glasses and/or hearing aid. Ensuring the patient has optimal hearing and vision aids can improve comprehension and help the patient accurately learn the procedure.
B. Wait for the patient to ask any questions about the procedure. Waiting for questions might lead to gaps in understanding, as the patient may not feel comfortable initiating questions without encouragement.
C. Talk through the process rapidly to keep the patient from becoming tired. Rushing the instruction may cause the patient to miss important details, as learning may be slower in older adults.
D. Point out each mistake during the return demonstration. Correcting every error without constructive feedback can discourage the patient. It’s more effective to provide gentle guidance and support.
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Correct Answer is B
Explanation
A. is packing belongings in preparation for discharge. Although discharge is an appropriate time for patient education, it may be too late to introduce complex information that requires practice or understanding. Teaching moments often occur earlier in the care process.
B. says, "How will I remember all the things about my new diet?" This is an ideal teaching moment as the patient is expressing concern and showing readiness to learn about the diet. The nurse can use this moment to provide guidance on strategies to remember dietary instructions.
C. has just returned from surgery for a deviated septum. Immediately post-surgery, the patient may be under the influence of anesthesia or pain medication, limiting their ability to absorb information. Teaching at this time may not be effective.
D. has just been told of the malignancy of his tumor. Right after receiving bad news, patients may experience shock, grief, or distress, making it difficult for them to process additional information. This may not be the right time for education.
Correct Answer is D
Explanation
A. Confuses the patient by giving information. False reassurance does not typically involve the giving of information; instead, it involves providing comforting statements that may not be truthful or realistic.
B. Shows a judgmental attitude on the part of the nurse.
False reassurance is not necessarily judgmental but is dismissive, offering unrealistic comfort rather than addressing the patient’s actual concerns.
C. Summarizes the patient's concerns and closes communication.
False reassurance does not summarize concerns; it usually bypasses them altogether, offering hollow comfort instead of genuine acknowledgment of the patient’s feelings.
D. Discounts the patient's stated concerns.
False reassurance can harm communication because it dismisses or minimizes the patient’s concerns rather than validating them, making the patient feel unheard or misunderstood.